Chronic fatigue syndrome, also known as myalgic encephalomyelitis, is an illness of uncertain cause. While many theories indicate that the central and autonomic nervous
systems, the immune system, and energy metabolism may be involved, these findings
have not yet led to a clear understanding of pathophysiology or to a diagnostic test of
adequate sensitivity and specificity. In this case, a 65-year-old female has been suffered
from dizziness, headache, head pressure with an overall feeling of fatigue, soreness, and
dry eyes. Recent lab data showed cortisol and TSH levels were in the normal range. The
pattern type is dual vacuity of qi and yin. The principle of treatment is to supplement qi
and to enrich yin. The prescription is Lycium Berry, Chrysanthemum, and Rehmannia Pill
combined with Supplemented Free Wanderer Powder. In ancient Chinese books, chronic
fatigue syndrome mainly involved the lung, spleen, and kidney. Modern people with chronic fatigue syndrome, however, are caused by emotional distress and the liver qi should be taken into consideration.
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